Dtz uwalk behavioral safety observation checklist
Dtz uwalk behavioral safety observation 2014-08-19
What does this form include?
This form contains 16 sections:
Task Observation
- Mopping Floors
- Vacuuming
- Removing Small Trash
- Removing Large Trash
- Cleaning Rest Rooms
- Dusting
- Non-Routine Tasks
Other - Add any other items by tapping the "Add Other" button.
Personal Protective Equipment
- Eye/Face Protection
- Hand Protection
- Foot Protection
- Dust Mask
- Apron/Smock
- Knee Pads
Ergonomics
- Lifting
- Carrying
- Pulling/Pushing
- Overstress/Overexertion/Overload
- Repetitive Motion
Tools and Equipment
- Proper Tool Selection
- Equipment Condition
- Properly Used
- Tool Inspection
Hazard Communication / Chemical Safety
- Proper Labels
- Proper Application
- Product Awareness
Safe Behaviors Observed
Unsafe Behaviors Observed
Corrective Actions for Unsafe Behavior
Employee Feedback
Name
Job Title
Notes
Distribution
Manager Signature
Use this template